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Prospective Rowing Student-Athlete Questionnaire

Form must be filled out completely to be eligible for entry. If a question does not apply to you, please put N/A in the box.

PERSONAL INFORMATION

Name

Home Phone

E-Mail

Age

Date of Birth

Year of High School Graduation

Street Address

City

State

Zip

Mother's Full Name

Mother's Occupation

Father's Full Name

Father's Occupation

ACADEMIC INFORMATION

Name of High School

Address

School Phone Number

Name of Guidance Counselor

Year In High School

Rank in Class

Number of people in Class

GPA

SAT Math Score

SAT Verbal Score

ACT Score

Desired curriculum

Are you taking a college prep curriculum in high school?
Yes
No

Have you applied to the NCAA clearinghouse?
Yes
No

NCAA Clearinghouse ID Number

ATHLETICS INFORMATION

Height

Weight

Check:
Port
Starboard
Sculling

Erg@2000m

Erg @5000m

Years Rowing

Coach's Name

Telephone Number

Coaching References with Telephone Numbers:

1

2

High School Athletic Honors Received:

High School Academic Honors Received:

Any Other Athletic Notes of Significance

Reasons for wanting to attend Villanova

Verify characters:

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